Individual
PAMELA R H GUOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 337-3000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.07530R
LA
207Q00000X
Family Medicine Physician
MD.07530R
LA
Other
Enumeration date
05/15/2006
Last updated
06/20/2023
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